ABSTRACT One of the most challenging scenarios in obstetric care occurs when a pregnant patient refuses recommended medical treatment that aims to support her wellbeing her fetuss wellbeing or both In such circumstances the obstetriciangynecologists ethical obligation to safeguard the pregnant wom...

ABSTRACT The reprocessing and reuse of singleuse instruments has become increasingly common Although there are limited data on reprocessed singleuse devices existing studies have found a significant rate of physical defects performance issues or improper decontamination There are currently no data...

ABSTRACT Reproductive and sexual coercion involves behavior intended to maintain power and control in a relationship related to reproductive health by someone who is was or wishes to be involved in an intimate or dating relationship with an adult or adolescent This behavior includes explicit attem...

ABSTRACT Increasing numbers of women and adolescent females are incarcerated each year in the United States and they represent an increasing proportion of inmates in the US correctional system Incarcerated women and adolescent females often come from disadvantaged environments and have high rates ...

ABSTRACT Approximately one half 51 of the 6 million pregnancies each year in the United States are unintended A reproductive life plan is a set of personal goals regarding whether when and how to have children based on individual priorities resources and values A lack of reproductive life planning...

ABSTRACT Although the risk of venous thromboembolism is increased among oral contraceptive users compared with nonusers who are not pregnant and not taking hormones and some data have suggested that use of drospirenonecontaining pills has a higher risk of venous thromboembolism this risk is still ...

ABSTRACT The field of robotic surgery has developed rapidly and its use for gynecologic conditions has grown exponentially Surgeons should be skilled at abdominal and laparoscopic approaches for a specific procedure before undertaking robotic approaches Surgeon training competency guidelines and q...

Abstract Early diagnosis and treatment of human immunodeficiency virus HIV can improve survival and reduce morbidity The Centers for Disease Control and Prevention and the American College of Obstetricians and Gynecologists recommend that females aged 1364 years be tested at least once in their li...

ABSTRACT Ovarian cancer has the highest mortality rate out of all types of gynecologic cancer and is the fifth leading cause of cancer deaths among women Current attempts at screening for ovarian cancer have been unsuccessful and are associated with falsepositive test results that lead to unnecess...

Prevention of transmission of the human immunodeficiency virus HIV from mother to fetus or newborn vertical transmission is a major goal in the care of pregnant women infected with HIV An important advance in this regard was the demonstration that treatment of the mother with zidovudine ZDV during...

ABSTRACT Perinatal depression which includes major and minor depressive episodes that occur during pregnancy or in the first 12 months after delivery is one of the most common medical complications during pregnancy and the postpartum period affecting one in seven women It is important to identify ...

ABSTRACT TaySachs disease TSD is a severe progressive neurologic disease that causes death in early childhood Carrier screening should be offered before pregnancy to individuals and couples at high risk including those of Ashkenazi Jewish FrenchCanadian or Cajun descent and those with a family his...

ABSTRACT Consultations usually are sought when practitioners with primary clinical responsibility recognize conditions or situations that are beyond their level of expertise or available resources One way to maximize prompt effective consultation and collegial relationships is to have a formal con...

ABSTRACT Reproductiveaged victims of sexual assault are at risk of unintended pregnancy sexually transmitted infections and mental health conditions including posttraumatic stress disorder Health care providers should screen routinely for a history of sexual assault and offer victims both emergenc...

ABSTRACT The physicianpatient relationship is damaged when there is either confusion regarding professional roles and behavior or clear lack of integrity that allows sexual exploitation and harm Sexual contact or a romantic relationship between a physician and a current patient is always unethical...

ABSTRACT Smoking is the one of the most important modifiable causes of poor pregnancy outcomes in the United States and is associated with maternal fetal and infant morbidity and mortality The physical and psychologic addiction to cigarettes is powerful however the compassionate intervention of th...

ABSTRACT Currently only povidoneiodine preparations are approved for vaginal surgicalsite antisepsis However there are compelling reasons to consider chlorhexidine gluconate solutions for offlabel use in surgical preparation of the vagina especially in women with allergies to iodine Although chlor...

ABSTRACT Spinal muscular atrophy SMA is an autosomal recessive neurodegenerative disease that results from degeneration of spinal cord motor neurons leading to atrophy of skeletal muscle and overall weakness In current practice patients with a family history of SMA are being offered carrier screen...

ABSTRACT Sterilization like any other surgical procedure must be carried out under the general ethical principles of respect for autonomy beneficence and justice Women requesting sterilization should be encouraged to discuss their decision and associated issues with their husbands or other appropr...

Abstract Drug enforcement policies that deter women from seeking prenatal care are contrary to the welfare of the mother and fetus Incarceration and the threat of incarceration have proved to be ineffective in reducing the incidence of alcohol or drug abuse Obstetriciangynecologists should be awar...